EP2762096B1 - Bone nail with smooth trailing end - Google Patents
Bone nail with smooth trailing end Download PDFInfo
- Publication number
- EP2762096B1 EP2762096B1 EP13153452.1A EP13153452A EP2762096B1 EP 2762096 B1 EP2762096 B1 EP 2762096B1 EP 13153452 A EP13153452 A EP 13153452A EP 2762096 B1 EP2762096 B1 EP 2762096B1
- Authority
- EP
- European Patent Office
- Prior art keywords
- bone nail
- bone
- end surface
- nail
- medical device
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Active
Links
- 210000000988 bone and bone Anatomy 0.000 title claims description 67
- 239000007943 implant Substances 0.000 claims description 50
- 230000000994 depressogenic effect Effects 0.000 claims description 22
- 238000002513 implantation Methods 0.000 claims description 9
- 230000008685 targeting Effects 0.000 claims description 8
- 230000007704 transition Effects 0.000 claims description 5
- 230000008878 coupling Effects 0.000 description 11
- 238000010168 coupling process Methods 0.000 description 11
- 238000005859 coupling reaction Methods 0.000 description 11
- 210000000689 upper leg Anatomy 0.000 description 8
- 230000008901 benefit Effects 0.000 description 3
- 230000007794 irritation Effects 0.000 description 3
- 210000001519 tissue Anatomy 0.000 description 3
- 208000010392 Bone Fractures Diseases 0.000 description 2
- 230000005540 biological transmission Effects 0.000 description 2
- 230000001419 dependent effect Effects 0.000 description 2
- 210000002391 femur head Anatomy 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- 210000004872 soft tissue Anatomy 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000000295 complement effect Effects 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 239000012634 fragment Substances 0.000 description 1
- 210000000527 greater trochanter Anatomy 0.000 description 1
- 210000002758 humerus Anatomy 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 230000000284 resting effect Effects 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 210000002303 tibia Anatomy 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/72—Intramedullary pins, nails or other devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/74—Devices for the head or neck or trochanter of the femur
- A61B17/742—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck
- A61B17/744—Devices for the head or neck or trochanter of the femur having one or more longitudinal elements oriented along or parallel to the axis of the neck the longitudinal elements coupled to an intramedullary nail
Definitions
- the invention relates to an implant.
- the invention relates to a bone implant like a bone nail.
- An implant and particularly a bone implant includes a portion or section or end which is adapted to be first introduced into a body during an implantation.
- a portion or section or end is referred to as leading portion or leading section or leading end.
- an opposite portion or section or end of the implant is adapted to be introduced last, wherein this portion or section or end may additionally be configured for an engagement of a tool for inserting the implant into the body.
- trailing portion or trailing section or trailing end is referred to as
- a bone implant may be a pin or a nail or screw.
- a bone nail may be an intramedullary nail, for example a femur nail, a humerus nail or a tibia nail.
- a bone screw may be a screw for fixing fragments of a bone fracture or may be a locking screw for locking a bone nail in the bone.
- the trailing end of a bone implant protrudes above the bone surface.
- the trailing end of the implant may act as an interface towards a target or aiming device.
- nails may be provided with grooves in order to fit pegs on a post of a target device for accurate alignment, for sufficient fixation, and for controlling the forces applied during implant insertion and removal. It may occur that patients complain about pain after surgery in this area, especially when the implant trailing end is sticking out of the bone. This pain may be caused by sharp edges at the trailing end of the implant. Such edges may cause irritation and/or injury to the surrounding soft tissue.
- US 6,443,954 B1 describes an intramedullary nail for securing portions of a bone together.
- a lag screw may extend through a radial bore in the nail.
- a cap screw may be screwed into the trailing end of the nail for holding the lag screw, wherein this lag screw has a spherical head portion.
- US 2006/0200142 A1 describes a nail for repairing a bone fracture.
- the nail includes a cutting tip and a groove extending longitudinally on the nail.
- a pair of slots or notches is located in the trailing end of the nail. Insertion and extraction instruments are used to rotate and properly position the nail within a bone.
- An installation jig includes a collar with a pair of projecting members which fit into the slots or notches.
- One aspect of the invention may be defined as providing an implant causing less irritations of surrounding tissue when being implanted.
- the end surface is formed so as to transmit rotational forces as well as translational forces from a medical device to the shaft of the implant, when the medical device is coupled at the end surface to the trailing section of the implant.
- the medical device may be a targeting device as shown in US 5,176,681 but with a shape adapted to mate with the end of the nail of the present invention.
- smooth refers to a shape without any edges, in particular without any sharp edges. That is, the end surface is formed without any discontinuities.
- the edge between the end surface and an circumferential outer surface of the implant may be provided with a chamfer or may be rounded so as to be also smooth, i.e. so as to not form any edge at which irritations of soft tissue may occur when the tissue is in contact with the trailing section of the implant including the end surface.
- the end surface describes a waveform along the circumference of the shaft, wherein the waveform is a sinusoidal waveform.
- the waveform extends in the direction of a longitudinal axis of the nail trailing end.
- the outer circumference at the targeting end may be generally cylindrical.
- the waveform may have only one depressed portion and one elevated portion so that the end surface may be formed like a bevel or a slanted surface relative to a longitudinal axis of the implant.
- the end surface includes two or more depressed portions with elevated portions between the two or more depressed portions, respectively.
- the end surface corresponds to a shape of an outer bone surface at an intended implantation site so that the end surface of the implant may be flush with the bone surface surrounding the end surface when the implant is inserted into the bone.
- the end surface may have a complex waveform with differing depressed portions and differing elevated portions.
- An exemplary bone implant may be an intramedullary nail comprising a through bore for receiving a locking screw, the through bore extending through the shaft in a direction transverse but also inclined relative to a longitudinal axis of the shaft.
- the depressed portion of the end surface may have a deepest or lowest point, wherein the deepest or lowest point may be aligned with the axis of the through bore.
- the bone implant may also be a bone screw.
- the bone screw may be a locking screw which may be received in a transverse through bore in the shaft of an intramedullary nail.
- the trailing end of the bone screw may comprise an end surface with a waveform or undulating form corresponding to the shape of the outer surface of the bone at the point or area of introduction of the screw.
- the screw receiving end would have high and low points matching the bone surface.
- the implant further comprises a bore formed at least in the trailing end section, with the bore extending in a longitudinal direction of the shaft.
- the longitudinal bore may include an inner thread for releasably fixing a medical device like a driving tool for manipulating the implant during an implantation or like a targeting device.
- the implant may further comprise a longitudinal bore in the trailing end section including a feature of a bayonet connector for releasably fixing a medical device like a driving tool or a targeting device. Accordingly, one or more grooves may be provided in the inner surface of the longitudinal bore each being configured for receiving a pin-like structure. It will be understood that the trailing end of the implant may also comprise pin-like structures for an engagement in bayonet grooves formed at a medical device. Such a structure is shown in US 7,901,410 and US 8,337,505 .
- a system having the implant as described above and a medical device with an implant engagement portion having a contact surface which corresponds to the end surface at the trailing section of the implant.
- the medical device may be an aiming or targeting device for assisting an introduction of a locking screw and/or a driving tool for manipulating the implant during an implantation of the implant.
- the system may further have an adapter element having a first end adapted to be coupled to the end surface at the trailing end of the implant and a second end adapted to be coupled to the medical device.
- an adapter element it is possible to utilize a usual aiming device or driving tool with an implant having a smooth end surface.
- Figures 1 and 2 show a trailing section 10 of an implant together with a coupling section 30 of a medical device like a targeting device or a driving tool, or of an adapter element to be placed between the medical device and the implant.
- the coupling section 30 includes an implant engagement portion 31.
- the implant engagement portion includes an end surface with a waveform which is complementary to the waveform of the end surface at the trailing section of the implant.
- the coupling section further comprises an inner through bore with a first bore section 33 and a second bore section 35.
- the first bore section has a first diameter and the second bore section has a second diameter, wherein the second diameter is smaller than the first diameter.
- the transition of the first diameter to the second diameter is formed by a shoulder 34.
- An axial bore 11 is formed in the trailing section 10 of the implant, wherein this axial bore includes an inner threaded portion.
- the coupling section 30 may be firmly connected to the trailing section 10 of the implant by means of a fixing screw 40.
- the fixing screw 40 comprises a screw head 41 and a screw thread 42.
- the outer diameter of the screw head may fit to the first diameter of the first bore section 33 of the coupling section, i.e. may be slightly smaller, and the outer diameter of the threaded portion 42 may fit to the second diameter of the second bore portion 35 of the coupling section 30, i.e. may be slightly smaller, so that the fixing screw 40 may be received in the bore of the adapter with the screw head 41 resting on the shoulder 34.
- the fixing screw has a length so that the fixing screw protrudes out of the coupling section 30 and into the trailing section 10 of the implant so that the screw thread 42 may engage the threaded portion of the axial bore 11 in the trailing section 10.
- the fixing screw 40 By means of the fixing screw 40, the end surface at the implant engagement portion 31 of the coupling section 30 and the end surface at the trailing section 10 of the implant may be pressed together.
- the coupling section and thus a medical device can be fixed to the implant in a predetermined orientation and the waveform of the fitting end surfaces allow a transmission of forces both in translational direction and in rotational direction.
- the force affected in axial direction by the fixing screw permits that the end surfaces slide onto each other. In such a configuration, no edges for a force transmission are necessary.
- Figure 3 shows an isometric view of the trailing end section 10 of a bone nail, and particularly an embodiment of an end surface 20.
- the end surface 20 is the ring-like surface extending between the inner surface of the axial bore portion 11 and the outer surface 14.
- the end surface 20 includes two depressed portions or valleys 21 and two elevated portions or peaks 22.
- Each of the transitions 23 between the depressed portions 21 and the elevated portions 22 is smooth.
- smooth it is meant there are no sharp corners and, for example, the end surface 20 may be continuously curved.
- the depressed portions differ from each other with respect to the width. It will be understood that the portions may also differ from each other with respect to the depth.
- the end surface 20 is defined by a sine wave running on the circumference of the trailing end section of the bone nail, around an opening of an axial bore 11.
- the end surface 20 can have three or four elevated and depressed portions.
- One embodiment of an end surface with three depressed and elevated portions is shown in figure 6 .
- the distance from the peaks to the valleys may be 2. To 3.8 mm.
- the peaks may be between 100 degree and 130 degree apart. In a 15.5 mm proximal diameter nail with three peaks, for example, the peaks would be spaced about 16.23 mm (120 degree) which is Pi+15.5mm/3.
- the trailing section 10 includes a transverse bore 13 defining an axis.
- the deepest point of the depressed portion 21 may be aligned with the axis of the transverse bore 13.
- the coupling section 30 has a predetermined orientation relative to the trailing end section of the bone nail. This may in particular be of interest when an aiming or targeting device should be coupled to the bone nail.
- Figures 4 and 5 illustrate embodiments in which the implant is an intramedullary femur nail already implanted from the proximal end of the femur into the medullary channel of the femur, wherein a locking screw 50 is inserted through the transverse bore 13 of the nail and into the femur head.
- the locking screw 50 comprises a threaded portion 51 adapted to be screwed into a bone and a trailing end 52 for an engagement with a driving tool.
- the trailing end 52 has a crown-like shape with slots, wherein a corresponding driving tool may have a structure for engaging this crown to substantially rotate the screw while screwing in the screw into the bone.
- the trailing end of the locking screw may comprise a trailing end with a smooth end surface as described herein.
- the smooth end surface 20 at the trailing section 10 of the femur nail has a contour which substantially corresponds to the contour of the bone at the point of introduction of the nail, i.e. at the greater trochanter of the femur.
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- Orthopedic Medicine & Surgery (AREA)
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- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Neurology (AREA)
- Medical Informatics (AREA)
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Description
- The invention relates to an implant. In particular, the invention relates to a bone implant like a bone nail.
- An implant and particularly a bone implant includes a portion or section or end which is adapted to be first introduced into a body during an implantation. In this specification, such a portion or section or end is referred to as leading portion or leading section or leading end. Consequently, an opposite portion or section or end of the implant is adapted to be introduced last, wherein this portion or section or end may additionally be configured for an engagement of a tool for inserting the implant into the body. Below, such a portion or section or end is referred to as trailing portion or trailing section or trailing end.
- A bone implant may be a pin or a nail or screw. A bone nail may be an intramedullary nail, for example a femur nail, a humerus nail or a tibia nail. A bone screw may be a screw for fixing fragments of a bone fracture or may be a locking screw for locking a bone nail in the bone.
- However, due to the anatomical variation of bones it may happen that the trailing end of a bone implant protrudes above the bone surface. The trailing end of the implant may act as an interface towards a target or aiming device. In order to create a solid fixation nails may be provided with grooves in order to fit pegs on a post of a target device for accurate alignment, for sufficient fixation, and for controlling the forces applied during implant insertion and removal. It may occur that patients complain about pain after surgery in this area, especially when the implant trailing end is sticking out of the bone. This pain may be caused by sharp edges at the trailing end of the implant. Such edges may cause irritation and/or injury to the surrounding soft tissue.
-
US 7,763,022 discloses a typical prior art intramedullary nail. -
US 6,443,954 B1 describes an intramedullary nail for securing portions of a bone together. A lag screw may extend through a radial bore in the nail. Furthermore, a cap screw may be screwed into the trailing end of the nail for holding the lag screw, wherein this lag screw has a spherical head portion. -
US 2006/0200142 A1 describes a nail for repairing a bone fracture. The nail includes a cutting tip and a groove extending longitudinally on the nail. A pair of slots or notches is located in the trailing end of the nail. Insertion and extraction instruments are used to rotate and properly position the nail within a bone. An installation jig includes a collar with a pair of projecting members which fit into the slots or notches. - One aspect of the invention may be defined as providing an implant causing less irritations of surrounding tissue when being implanted.
- This is achieved by the subject-matter of the independent claim. Further embodiments are described in the dependent claims.
- In general, an implant, in particular a bone nail comprises a shaft with a leading section and a trailing section, wherein the trailing section includes an end surface having at least one depressed portion and at least one elevated portion, wherein a transition between one of the depressed portions and the adjacent elevated portion is smooth. The end surface is formed so as to transmit rotational forces as well as translational forces from a medical device to the shaft of the implant, when the medical device is coupled at the end surface to the trailing section of the implant. The medical device may be a targeting device as shown in
US 5,176,681 but with a shape adapted to mate with the end of the nail of the present invention. - It will be understood that "smooth" refers to a shape without any edges, in particular without any sharp edges. That is, the end surface is formed without any discontinuities. The edge between the end surface and an circumferential outer surface of the implant may be provided with a chamfer or may be rounded so as to be also smooth, i.e. so as to not form any edge at which irritations of soft tissue may occur when the tissue is in contact with the trailing section of the implant including the end surface.
- According to an embodiment, the end surface describes a waveform along the circumference of the shaft, wherein the waveform is a sinusoidal waveform. The waveform extends in the direction of a longitudinal axis of the nail trailing end. The outer circumference at the targeting end may be generally cylindrical.
- It is noted that the waveform may have only one depressed portion and one elevated portion so that the end surface may be formed like a bevel or a slanted surface relative to a longitudinal axis of the implant.
- According to an embodiment, the end surface includes two or more depressed portions with elevated portions between the two or more depressed portions, respectively.
- The following advantages may be achieved by an end surface having a waveform:
- Impingement of the surrounding tissue may be reduced.
- A contour may be formed which fits to the surface of the bone.
- Stress may be reduced in the region between implant and tool, allowing for a metal to plastic material interface which permits smaller dimensions and possibly cost reduction.
- During assembly, the implant and tool may be easily selfcentering.
- An accurate play-free interface is possible.
- According to another embodiment, the end surface corresponds to a shape of an outer bone surface at an intended implantation site so that the end surface of the implant may be flush with the bone surface surrounding the end surface when the implant is inserted into the bone. Depending from the intended implantation site, for example the femur head, the end surface may have a complex waveform with differing depressed portions and differing elevated portions.
- An exemplary bone implant may be an intramedullary nail comprising a through bore for receiving a locking screw, the through bore extending through the shaft in a direction transverse but also inclined relative to a longitudinal axis of the shaft. The depressed portion of the end surface may have a deepest or lowest point, wherein the deepest or lowest point may be aligned with the axis of the through bore.
- The bone implant may also be a bone screw. For example, the bone screw may be a locking screw which may be received in a transverse through bore in the shaft of an intramedullary nail. As the bone screw may be inserted with an inclined angle (being not perpendicular) to an axis of the bone, or at least angled relative to the outer surface of the bone, the trailing end of the bone screw may comprise an end surface with a waveform or undulating form corresponding to the shape of the outer surface of the bone at the point or area of introduction of the screw. Thus if the bone outer surface is cylindrical then the screw receiving end would have high and low points matching the bone surface.
- According to a further embodiment, the implant further comprises a bore formed at least in the trailing end section, with the bore extending in a longitudinal direction of the shaft. The longitudinal bore may include an inner thread for releasably fixing a medical device like a driving tool for manipulating the implant during an implantation or like a targeting device.
- Alternatively, the implant may further comprise a longitudinal bore in the trailing end section including a feature of a bayonet connector for releasably fixing a medical device like a driving tool or a targeting device. Accordingly, one or more grooves may be provided in the inner surface of the longitudinal bore each being configured for receiving a pin-like structure. It will be understood that the trailing end of the implant may also comprise pin-like structures for an engagement in bayonet grooves formed at a medical device. Such a structure is shown in
US 7,901,410 andUS 8,337,505 . - According to an embodiment, a system is provided having the implant as described above and a medical device with an implant engagement portion having a contact surface which corresponds to the end surface at the trailing section of the implant. The medical device may be an aiming or targeting device for assisting an introduction of a locking screw and/or a driving tool for manipulating the implant during an implantation of the implant.
- According to another embodiment, the system may further have an adapter element having a first end adapted to be coupled to the end surface at the trailing end of the implant and a second end adapted to be coupled to the medical device. With an adapter element, it is possible to utilize a usual aiming device or driving tool with an implant having a smooth end surface.
- It is noted that a person skilled in the art will gather from the above and the following description that, unless otherwise notified, in addition to any combination of features belonging to one embodiment, also any combination of features relating to another embodiment is considered to be disclosed with this application.
- These and other objects, features and advantages of the exemplary embodiments of the present invention will become apparent upon reading the following detailed description of exemplary embodiments, when taken in conjunction with the appended claims.
- The invention will now be detailed by way of exemplary embodiments with reference to the attached drawings.
-
Figure 1 shows a medical device coupled to a trailing end section of a bone nail. -
Figure 2 is a section view of the combination offigure 1 . -
Figure 3 is an isometric view of a trailing end section of a bone nail according to a first embodiment. -
Figure 4 is an isometric illustration of an intramedullary nail in a femur. -
Figure 5 is a side view of an intramedullary nail in a femur. -
Figure 6 is an isometric view of a trailing end section of a bone nail according to a second embodiment. - It is noted that the illustration in the drawings is only schematically and not to scale. Throughout the drawings, the same reference numerals and characters, unless otherwise stated, are used to denote like features, elements, components, or portions of the illustrated embodiments. Moreover, while the present invention will now be described in detail with reference to the figures, it is done so in connection with the illustrative embodiments and is not limited by the particular embodiments illustrated in the figures, but is defined by the appended claims.
-
Figures 1 and 2 show a trailingsection 10 of an implant together with acoupling section 30 of a medical device like a targeting device or a driving tool, or of an adapter element to be placed between the medical device and the implant. Thecoupling section 30 includes animplant engagement portion 31. The implant engagement portion includes an end surface with a waveform which is complementary to the waveform of the end surface at the trailing section of the implant. - The coupling section further comprises an inner through bore with a
first bore section 33 and asecond bore section 35. The first bore section has a first diameter and the second bore section has a second diameter, wherein the second diameter is smaller than the first diameter. The transition of the first diameter to the second diameter is formed by ashoulder 34. Anaxial bore 11 is formed in the trailingsection 10 of the implant, wherein this axial bore includes an inner threaded portion. - As shown in
figure 2 , thecoupling section 30 may be firmly connected to the trailingsection 10 of the implant by means of a fixingscrew 40. The fixingscrew 40 comprises ascrew head 41 and ascrew thread 42. The outer diameter of the screw head may fit to the first diameter of thefirst bore section 33 of the coupling section, i.e. may be slightly smaller, and the outer diameter of the threadedportion 42 may fit to the second diameter of thesecond bore portion 35 of thecoupling section 30, i.e. may be slightly smaller, so that the fixingscrew 40 may be received in the bore of the adapter with thescrew head 41 resting on theshoulder 34. - The fixing screw has a length so that the fixing screw protrudes out of the
coupling section 30 and into the trailingsection 10 of the implant so that thescrew thread 42 may engage the threaded portion of theaxial bore 11 in the trailingsection 10. By means of the fixingscrew 40, the end surface at theimplant engagement portion 31 of thecoupling section 30 and the end surface at the trailingsection 10 of the implant may be pressed together. By way of this, the coupling section and thus a medical device can be fixed to the implant in a predetermined orientation and the waveform of the fitting end surfaces allow a transmission of forces both in translational direction and in rotational direction. The force affected in axial direction by the fixing screw permits that the end surfaces slide onto each other. In such a configuration, no edges for a force transmission are necessary. -
Figure 3 shows an isometric view of the trailingend section 10 of a bone nail, and particularly an embodiment of anend surface 20. Theend surface 20 is the ring-like surface extending between the inner surface of theaxial bore portion 11 and theouter surface 14. Infigure 3 , theend surface 20 includes two depressed portions orvalleys 21 and two elevated portions or peaks 22. Each of thetransitions 23 between thedepressed portions 21 and theelevated portions 22 is smooth. By smooth it is meant there are no sharp corners and, for example, theend surface 20 may be continuously curved. In this embodiment, the depressed portions differ from each other with respect to the width. It will be understood that the portions may also differ from each other with respect to the depth. Theend surface 20 is defined by a sine wave running on the circumference of the trailing end section of the bone nail, around an opening of anaxial bore 11. Theend surface 20 can have three or four elevated and depressed portions. One embodiment of an end surface with three depressed and elevated portions is shown infigure 6 . The distance from the peaks to the valleys may be 2. To 3.8 mm. - In a three peak design the peaks may be between 100 degree and 130 degree apart. In a 15.5 mm proximal diameter nail with three peaks, for example, the peaks would be spaced about 16.23 mm (120 degree) which is Pi+15.5mm/3.
- As further depicted in
figure 3 , the trailingsection 10 includes atransverse bore 13 defining an axis. The deepest point of thedepressed portion 21 may be aligned with the axis of thetransverse bore 13. Thus, thecoupling section 30 has a predetermined orientation relative to the trailing end section of the bone nail. This may in particular be of interest when an aiming or targeting device should be coupled to the bone nail.Figures 4 and 5 illustrate embodiments in which the implant is an intramedullary femur nail already implanted from the proximal end of the femur into the medullary channel of the femur, wherein a lockingscrew 50 is inserted through the transverse bore 13 of the nail and into the femur head. - The locking
screw 50 comprises a threadedportion 51 adapted to be screwed into a bone and a trailingend 52 for an engagement with a driving tool. In these embodiments, the trailingend 52 has a crown-like shape with slots, wherein a corresponding driving tool may have a structure for engaging this crown to substantially rotate the screw while screwing in the screw into the bone. It will be understood that the trailing end of the locking screw may comprise a trailing end with a smooth end surface as described herein. - Further illustrated in
figures 4 and 5 is the aspect that thesmooth end surface 20 at the trailingsection 10 of the femur nail has a contour which substantially corresponds to the contour of the bone at the point of introduction of the nail, i.e. at the greater trochanter of the femur. - While the invention has been illustrated and described in detail in the drawings and foregoing description, such illustration and description are to be considered illustrative or exemplary and not restrictive. The invention is not limited to the disclosed embodiments. Other variations to the disclosed embodiments can be understood and effected by those skilled in the art in practising the claimed invention as defined by the appended claims.
- In the claims, the word "comprising" does not exclude other elements, and the indefinite article "a" or "an" does not exclude a plurality.
- The mere fact that the certain measures are recited in mutually different dependent claims does not indicate that a combination of these measures cannot be used to advantage. Any reference signs in the claims should not be construed as limiting the scope.
-
- 10
- trailing section of shaft
- 11
- axial bore portion with inner thread
- 12
- axial bore portion
- 13
- transverse bore
- 14
- outer surface
- 20
- end surface
- 21
- depressed portion
- 22
- elevated portion
- 23
- transition
- 30
- coupling section
- 31
- implant engagement portion
- 32
- tool engagement portion
- 33
- first bore section
- 34
- shoulder
- 35
- second bore section
- 40
- fixing screw
- 41
- screw head
- 42
- screw thread
- 50
- locking screw
- 51
- locking screw thread
- 52
- tool engagement portion of locking screw
Claims (13)
- A bone nail comprising
a shaft with a longitudinal axis, a circumference, a leading section adapted to be firstly introduced into a body during an implantation of the bone nail, and a trailing section (10) adapted to be finally introduced into the body during an implantation of the bone nail,
wherein the trailing section (10) includes an end surface (20) with a depressed portion (21) being depressed in a direction parallel to the longitudinal axis and an elevated portion (22) being elevated in the direction parallel to the longitudinal axis, wherein a smooth transition (23) between the depressed portion and the elevated portion is formed,
characterized in that
the end surface describes a sinusoidal-like waveform along the circumference. - The bone nail of claim 1, wherein the end surface (20) is formed so as to transmit rotational forces and translational forces from a medical device to the shaft when the medical device is coupled at the end surface to the trailing section of the shaft.
- The bone nail of claim 1 or 2, wherein the end surface (20) includes two or more depressed portions with elevated portions between the two or more depressed portions, respectively.
- The bone nail of any one of claims 1 to 3, wherein the end surface corresponds to a shape of an outer bone surface at an intended implantation site so that the end surface of the bone nail is flush with the bone surface surrounding the end surface when the bone nail is inserted into the bone.
- The bone nail of claim 4, wherein the bone nail is an intramedullary nail comprising a through bore (13) for receiving a locking screw (50), the through bore extending through the shaft in a direction transverse to a longitudinal direction of the shaft.
- The bone nail of claim 5, wherein the depressed portion (21) of the end surface (20) is located adjacent an outer edge of the end surface and a deepest point of the depressed portion is aligned with the axis of the through bore (13).
- The bone nail of claim 3, further comprising a bone screw for locking the bone nail when implanted.
- The bone nail of any one of claims 1 to 7, further comprising an axial bore (11) in the trailing section (10), the bore extending in a longitudinal direction of the shaft and including an inner thread for releasably fixing a medical device.
- The bone nail of any one of claims 1 to 7, further comprising an axial bore (11) in the trailing section, the bore extending in a longitudinal direction of the shaft and including a feature of a bayonet connector for releasably fixing a medical device.
- A system comprising the bone nail of any one of claims 1 to 9 and a medical device comprising an implant engagement portion with a contact surface which corresponds to the end surface (20) at the trailing section (10) of the bone nail.
- The system of claim 10, wherein the medical device is a targeting device for assisting an introduction of a locking screw and/or a driving tool for manipulating the bone nail during an implantation of the bone nail.
- The bone nail of any one of claims 1 to 9, further comprising an adapter element having a first end (31) adapted to be coupled to the end surface (20) at the trailing section (10) of the bone nail and a second end adapted to be coupled to a medical device.
- The bone nail of any one of claims 1 to 9, wherein the nail trailing section has three elevated portions and three depressed portions with a peak to peak amplitude of between 2.5 and 3.8 mm.
Priority Applications (6)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP13153452.1A EP2762096B1 (en) | 2013-01-31 | 2013-01-31 | Bone nail with smooth trailing end |
ES13153452.1T ES2608328T3 (en) | 2013-01-31 | 2013-01-31 | Bone nail with soft back end |
AU2013248170A AU2013248170B2 (en) | 2013-01-31 | 2013-10-22 | Bone nail with smooth trailing end |
CA2839599A CA2839599C (en) | 2013-01-31 | 2014-01-20 | Bone nail with smooth trailing end |
JP2014011939A JP5819997B2 (en) | 2013-01-31 | 2014-01-27 | Osteotomy nail with smooth back end |
CN201410044882.1A CN103961172B (en) | 2013-01-31 | 2014-02-07 | Bone nail |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP13153452.1A EP2762096B1 (en) | 2013-01-31 | 2013-01-31 | Bone nail with smooth trailing end |
Publications (2)
Publication Number | Publication Date |
---|---|
EP2762096A1 EP2762096A1 (en) | 2014-08-06 |
EP2762096B1 true EP2762096B1 (en) | 2016-10-05 |
Family
ID=47720309
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP13153452.1A Active EP2762096B1 (en) | 2013-01-31 | 2013-01-31 | Bone nail with smooth trailing end |
Country Status (2)
Country | Link |
---|---|
EP (1) | EP2762096B1 (en) |
ES (1) | ES2608328T3 (en) |
Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20060200142A1 (en) * | 2005-02-22 | 2006-09-07 | Sohngen Gary W | Humeral nail |
Family Cites Families (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5176681A (en) | 1987-12-14 | 1993-01-05 | Howmedica International Inc. | Intramedullary intertrochanteric fracture fixation appliance and fitting device |
US5480402A (en) * | 1993-08-05 | 1996-01-02 | Kim; Andrew C. | Shoulder compression interlocking system |
US6053918A (en) * | 1994-10-25 | 2000-04-25 | General Orthopedics | Apparatus and method for fastening an intramedullary nail to a bone |
GB2299941A (en) * | 1995-04-20 | 1996-10-23 | Halifax Orthopaedic Research L | Securing means for an intramedullary rod |
US6443954B1 (en) | 2001-04-24 | 2002-09-03 | Dale G. Bramlet | Femoral nail intramedullary system |
DE20301902U1 (en) | 2003-02-07 | 2003-05-15 | stryker Trauma GmbH, 24232 Schönkirchen | Locking nail, especially for proximal femur fractures |
DE20309058U1 (en) | 2003-06-11 | 2003-09-04 | stryker Trauma GmbH, 24232 Schönkirchen | Combination of intramedular nail under a target and / or impact instrument |
GB2421187A (en) * | 2004-12-14 | 2006-06-21 | Chawla Girish | Intramedullary bone support |
-
2013
- 2013-01-31 ES ES13153452.1T patent/ES2608328T3/en active Active
- 2013-01-31 EP EP13153452.1A patent/EP2762096B1/en active Active
Patent Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20060200142A1 (en) * | 2005-02-22 | 2006-09-07 | Sohngen Gary W | Humeral nail |
Also Published As
Publication number | Publication date |
---|---|
EP2762096A1 (en) | 2014-08-06 |
ES2608328T3 (en) | 2017-04-07 |
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